if we look at that measure, we're the number one academic medical center in the united states. fisher: ucla is a very high-quality hospital, and i'd want to be taken care of there if i had an acute catastrophe. but they also provide a lot of care that i believe is unnecessary. i'm certain that we provide care, not intentionally, that isn't needed, and we have to work on decreasing those inefficiencies that don't add value to care. [siren wailing] fisher: the secret to places like intermountain healthcare is that they are designing into care the best possible science, and they have shown that it's possible to improve care and by improving care, reduce the overall cost of care. james: we deliver about 34,000 children a year. it turns out we have the ability to start labor artificially. it's called elective induction. now, sometimes you have to get that baby delivered because the mom's health or the baby health will be affected. an elective induction is purely for convenience. the direct consequence of inappropriate elective induction is cesarean section deliveries. we've seen hug